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Texas rates for HCPCS 22630

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.00 / $3,753.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,609.42 / $2,888.53 / $39,314.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.23 / $23,873.14 / $23,873.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.07 / $1,780.07 / $1,780.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.68 / $176.68 / $176.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,000.00 / $15,921.72
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.75 / $722.70 / $763.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.95 / $1,936.91 / $3,238.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.95 / $1,940.98 / $3,397.23
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$603.34 / $603.34 / $603.34
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.68 / $176.68 / $512.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $9,453.00 / $20,955.00